Provider
QP24-18 Pharmacy Benefit Update - New Drug-Related Prior Authorization (PA) with Quantity Limit (QL) Criteria: Multiple Sclerosis (MS) Agents
Program effective Date: Apr 13, 2018
Program effective Date: Apr 13, 2018
Program effective Date: Dec 07, 2017
Program effective Date: Aug 14, 2018
Program effective Date: Jan 16, 2018
Program effective Date: Jun 26, 2018
Program effective Date: Nov 30, 2017
Program effective Date: Mar 13, 2018
Program effective Date: May 15, 2018
Program effective Date: Jan 18, 2018
Program effective Date: Feb 05, 2018